Comprehensive Genomic Analysis in Tissue Samples From Patients With Recurrent or Stage IV Non-small Cell Lung Cancer

NCT ID: NCT02178163

Last Updated: 2025-07-25

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

1020 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-08-01

Study Completion Date

2027-07-31

Brief Summary

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This research trial studies comprehensive genomic analysis in tissue samples from patients with non-small cell lung cancer that has come back or is stage IV. Comprehensive genomic analysis may identify specific gene mutations (changes in deoxyribonucleic acid \[DNA\]) and help doctors to tailor treatment to target the specific mutations.

Detailed Description

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PRIMARY OBJECTIVES:

I. To assess the percentage of advanced non-small cell lung cancer patients in whom therapy can be initiated based on genomic analysis of tumor specimens.

SECONDARY OBJECTIVES:

I. To estimate the percentage of patients in whom genomic analysis can be performed.

II. To assess the progression free survival and response rate in patients who start therapy based on the genomic analyses results.

OUTLINE:

Patients undergo collection of tissue samples for genomic analysis via mass spectrometry, polymerase chain reaction (PCR), and microarray. Based on the results of the genomic analysis, patients may begin therapy.

After completion of study treatment, patients are followed up every 3 months for 2 years, every 6 months for 3 years, and then every 12 months thereafter.

Conditions

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Recurrent Non-small Cell Lung Cancer Stage IV Non-small Cell Lung Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

This study will assess the percentage of advanced NSCLC patients whose tumor samples can undergo genomic analysis and in whom therapy can begin based on the results of this analysis.
Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Ancillary-Correlative (comprehensive genomic analysis)

Patients undergo collection of tissue samples for genomic analysis via mass spectrometry, PCR, and microarray. Based on the results of the genomic analysis, patients may begin therapy.

Group Type EXPERIMENTAL

cytology specimen collection procedure

Intervention Type OTHER

Correlative studies

laboratory biomarker analysis

Intervention Type OTHER

Correlative studies

Interventions

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cytology specimen collection procedure

Correlative studies

Intervention Type OTHER

laboratory biomarker analysis

Correlative studies

Intervention Type OTHER

Other Intervention Names

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cytologic sampling

Eligibility Criteria

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Inclusion Criteria

* Stage IV or recurrent Non-Small Cell Lung Cancer patients who either have archival tissue for genomic analysis or are willing to undergo a new biopsy to obtain tumor tissue for genomic analysis. Patients whose tumor has already undergone genomic analysis will be eligible.
* Zubrod performance status 0-2
* Life expectancy \>= 3 months
* Absolute neutrophil count of \> 1.5 x 10\^9/L
* Platelet count \> 100,000 x 10\^9/L
* Serum creatinine =\< 1.5 times the institutional upper limit of normal (ULN) or calculated creatinine clearance (Cockcroft-Gault formula) of \> 45 mL/min
* Serum bilirubin =\< 1.5 X ULN
* Transaminases (serum glutamic oxaloacetic transaminase \[SGOT\] and/or serum glutamate pyruvate transaminase \[SGPT\]) =\< 2.5 times institutional ULN and alkaline phosphatase =\< 2.5 times ULN, unless patient has liver metastases and the managing physician believes that the elevation in liver enzymes is only related to the liver metastases
* Laboratory tests should be done within 30 days of enrollment on the trial
* A biopsy of the patient's tumor for genomic profiling is required; this biopsy specimen can be an already obtained diagnostic specimen provided the patient has not received systemic therapy since the biopsy has been obtained and was obtained within 60 days of trial enrollment. The biopsy material cannot be from a tumor site that has been radiated.
* Signed informed consent that details the investigational nature of the study according to institutional and federal guidelines

Exclusion Criteria

* Patients with concurrent malignancy; patients with prior or concurrent malignancy will be allowed as long as the treating physician considers it unlikely to impact the clinical outcome of the patient
* Serious medical illness including but not limited to uncontrolled congestive heart failure, uncontrolled angina, myocardial infarction or cerebrovascular event with 6 months of registration, history of chronic active hepatitis or history of human immunodeficiency virus (HIV) or an active bacterial infection will not be eligible
* Pregnant or lactating women; female patients of child bearing potential will be informed that if they do enroll on a therapeutic trial, based on the genomic analyses, that they may not be able to enroll on a clinical trial if they are pregnant; all sexually active patients will be informed that patients enrolling on a therapeutic trial have to use contraceptive methods to prevent pregnancy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

Barbara Ann Karmanos Cancer Institute

OTHER

Sponsor Role lead

Responsible Party

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Gerold Bepler

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Gerold Bepler, M.D.

Role: PRINCIPAL_INVESTIGATOR

Barbara Ann Karmanos Cancer Institute

Locations

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KCI at McLaren Bay Region

Bay City, Michigan, United States

Site Status RECRUITING

KCI at Mclaren Bloomfield Hills

Bloomfield Hills, Michigan, United States

Site Status RECRUITING

KCI At McLaren Clarkston

Clarkston, Michigan, United States

Site Status RECRUITING

Barbara Ann Karmanos Cancer Institute

Detroit, Michigan, United States

Site Status RECRUITING

KCI at McLaren Flint

Flint, Michigan, United States

Site Status RECRUITING

KCI at McLaren Greater Lansing, Mid Michigan Physicians

Lansing, Michigan, United States

Site Status RECRUITING

KCI at McLaren Lapeer Region

Lapeer, Michigan, United States

Site Status RECRUITING

KCI at McLaren Macomb

Mount Clemens, Michigan, United States

Site Status RECRUITING

KCI at McLaren Central Michigan

Mount Pleasant, Michigan, United States

Site Status RECRUITING

KCI at Northern Michigan

Petoskey, Michigan, United States

Site Status RECRUITING

KCI at McLaren Port Huron

Port Huron, Michigan, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Gerold Bepler, M.D.

Role: CONTACT

(313) 576-8665

Facility Contacts

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Role: primary

800-527-6266

Role: primary

1800-527-6266

Role: primary

1-800-527-6266

Gerold Bepler, M.D.

Role: primary

800-527-6266

Role: primary

1-800-527-6266

Role: primary

(517) 975-9500

Role: primary

1-800-527-6266

Role: primary

1-800-527-6266

Role: primary

1-800-527-6266

Role: primary

1-800-527-6266

Role: primary

800-527-6266

Other Identifiers

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NCI-2014-00913

Identifier Type: REGISTRY

Identifier Source: secondary_id

W81XWH-11-1-0500

Identifier Type: OTHER

Identifier Source: secondary_id

2014-002

Identifier Type: OTHER

Identifier Source: secondary_id

P30CA022453

Identifier Type: NIH

Identifier Source: secondary_id

View Link

2014-002

Identifier Type: -

Identifier Source: org_study_id

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